Dr Kylie Rae Gore-hall, PSYD, MS, LP, LPC-S is a
Psychologist based in Fairbanks, Alaska. Dr Kylie Rae Gore-hall is licensed to practice in Alaska (license number 210008) and her current practice location is
530 7th Ave Ste 1, Fairbanks, Alaska. She can be reached at her office (for appointments etc.) via phone at
(907) 451-8208.
NPI number for Dr Kylie Rae Gore-hall is 1265954796 and her current mailing address is 530 7th Ave Ste 1, Fairbanks, Alaska. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1265954796.
Healthcare Provider's Profile
| Full Name | Dr Kylie Rae Gore-hall |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist |
|---|
| Location | 530 7th Ave Ste 1, Fairbanks, Alaska |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1265954796
- Provider Enumeration Date: 07/17/2017
- Last Update Date: 12/06/2024
Medical Identifiers
Medical identifiers for Dr Kylie Rae Gore-hall such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1265954796 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 157795 (Alaska) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | 210008 (Alaska) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kylie Rae Gore-hall is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Kylie Rae Gore-hall, PSYD, MS, LP, LPC-S
530 7th Ave Ste 1,
Fairbanks, AK 99701-4971
Ph: (907) 451-8208 | Dr Kylie Rae Gore-hall, PSYD, MS, LP, LPC-S
530 7th Ave Ste 1,
Fairbanks, AK 99701-4971
Ph: (907) 451-8208 |
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